Mehmet DÜZLÜ, Pembe OLTULU, Hakan TUTAR, Raşit CEVİZCİ, Recep KARAMERT, Sami GÜMÜŞ

Atipik yerleşimli bir warthin tümörü olgusu

Papiller kistadenoma lenfomatozum (Warthin tümörü) parotis bezi kaynaklı benign bir tükrük bezi neoplazisidir. Genellikle parotis bezi kuyruğunda yerleşik olan ve yavaş büyüme şekli gösteren bu tümör nadiren parotis bezi dışında; servikal lenf nodlarında ve minör tükrük bezlerinde de görülebilir. Biz de bu yazıda atipik yerleşimli bir warthin tümörü olgusunu sunduk. Kırk yaşında herhangi başka bir sağlık problemi bulunmayan erkek hasta sağ çene köşesinin altında yerleşik kitle nedeniyle kliniğimize başvurdu. Yapılan fizik muayene ve görüntüleme sonrası servikal lenfadenopati ön tanısı ile eksizyonel biyopsi yapıldı. Histopatolojik görünümü warthin tümörü olarak yorumlandı. Postoperatif takiplerinde nüks ya da komplikasyon izlenmedi. Bu vakayı sunarak warthin tümörünün parotis bezi dışında boyunda herhangi başka bir lokalizasyonda da karşımıza çıkabileceği ve servikal bölgeye yerleşik kitlelere yaklaşımda akılda tutulması gerektiğini vurgulamak istedik.

A case of warthin tumor with atpical location

Papillary cystadenoma lymphamatosum (Warthin's tumor) is a benign salivary gland neoplasm of the parotid gland. It is usually encountered as a slowly growing mass located in the tail of the parotid gland, however it can be rarely derived from the cervical lymph nodes and minor salivary glands. In this article, we reported a case of warthin tumor with atpical location. A forty year-old patient consulted to our clinic who was suffering from a swelling below the right angulus mandible and otherwise healthy. He has undergone an excisional biopsy with the preliminary diagnosis of lymphadenopathy after physical examination and imaging. The histopathologic appearence was interpreted as warthin tumor. No complication or recurrence was observed in the follow-up period. We aimed to emphasize that this tumor may be also seen outside the parotid gland in any other localization of the neck and so it must be born in mind in cervical mass management.

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